Individual
DR. MOHAMAD HYTHAM RIFAI
Active
Individual
DR. MOHAMAD HYTHAM RIFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01035906
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087388
ANTHEM
IN
05
—
100214490A
—
IN
01
—
129164100
INDIANA DEPT OF LABOR
IN
01
—
140000847
PALMETTO RR MEDICARE
IN
Enumeration date
06/12/2006
Last updated
10/01/2021
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